Herpes simplex

Question 1

Which HSV type recurs more frequently

Answer 1

Genital recurrences are 6x more likely

Question 2

Vesicles in herpes zoster vs herpes simplex

Answer 2

Those in herpes simplex are uniform in size unlike those in herpes zoster

Question 3

Primary herpes treatment

Answer 3

oral acyclovir/valacyclovir/famciclovir for 7-10 days

Question 4

Recurrent herpes tx (episodic)

Answer 4

oral acyclovir/valacyclovir/famciclovir for 1-5 days depending on dose or Topical tx with Abreva or topical -ciclovirs

Question 5

Recurrent herpes tx (suppressive)

Answer 5

oral acyclovir/valacyclovir/famciclovir 1 to 2x per day based on number of recurrences per year

Question 6

HSV1 primary infxn clinical presentation

Answer 6

gingivostomatitis and pharyngitis

Question 7

Official name for herpes on the vermillion border

Answer 7

herpes labialis

Question 8

What can trigger recurrent oral herpes

Answer 8

Infection, menses, sunlight, fever

Question 9

Specific herpes infections by area

Answer 9

Herpetic whitlow
ocular herpes
Herpes gladiatorum (cutaneous herpes in athletes involved in contact sports)

Question 10

Eczema herpeticum

Answer 10

MCC is primary HSV infection

- tx with both IV acyclovir and oral antistaphylococcal antibiotics due to the risk of superinfection

Question 11

Chronic mucocutaneous herpes simplex virus and varicella zoster virus

Answer 11

Atypical mucocutaneous wartlike or ulcerative infection that persists for 1+ month
- commonly associated with HIV even well-controlled